Los Angeles International Fern Society
Membership Form

Name ___________________________________ U.S. 1st. Class $30 (Canada & Mexico)

Address _________________________________ Overseas Air add $8.50

________________________________________

Zip/Country ______________________________

Phone/Country ___________________________   E-mail__________________________

Make payments in U.S. dollars payable to LAIFS

       Norman Nakanishi, LAIFS
       P.O. Box 90943
       Pasadena, CA 91109-0943